Abundant Wellness Center | |
1125 E Polston Ave Suite A Post Falls ID 83854-6045 | |
(208) 457-1540 | |
Not Available |
Full Name | Abundant Wellness Center |
---|---|
Speciality | Community/behavioral Health |
Location | 1125 E Polston Ave, Post Falls, Idaho |
Authorized Official Name and Position | Eve A. Adams (PRESIDENT) |
Authorized Official Contact | 5096884587 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Abundant Wellness Center 2117 E 37th Ave Spokane WA 99203-4114 Ph: () - | Abundant Wellness Center 1125 E Polston Ave Suite A Post Falls ID 83854-6045 Ph: (208) 457-1540 |
NPI Number | 1518015122 |
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Provider Enumeration Date | 01/08/2007 |
Last Update Date | 07/15/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518015122 | NPI | - | NPPES |
806587200 | Medicaid | ID | |
807220600 | Medicaid | ID | |
806475800 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | LCPC3672 (Idaho) | Primary |
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